Publication:

Case report on uterine inversion secondary to endometrial stromal sarcoma: a diagnostic challenge

Nonpuerperal uterine inversion (NPUI) is rarer entity. They are usually preceded by various benign and malignant pathologies, in our case a 60-year-old multiparous woman presented with postmenopausal bleeding and the presence of a vaginal mass over the past four months. Her clinical examination revealed a large necrotic, malodorous growth filling the entire vaginal canal and cervix was not visualized due to the obstructive growth. Bimanual examination posed challenges due to the expansiveness of the mass. Imaging revealed endometrial hyperplasia and biopsy confirmed carcinoma of the endometrium. Examination under anesthesia revealed uterine inversion, correction of anatomy was done by Haultain’s procedure and complete staging was performed. Her histopathology revealed endometrial stromal sarcoma. We report this case due to challenging diagnosis of uterine inversion. Also, this case underscores the rarity of NPUI and its potential association with malignancies like endometrial stromal sarcoma.